Individual
JULIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3019 AVENUE M EXT, CONROE, TX 77301-5829
(936) 228-9115
Mailing address
3019 AVENUE M EXT, CONROE, TX 77301-5829
(936) 228-9115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88266
TX
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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